<br /><br />

<script type="text/javascript" src="/Javascript/main.js">
</script>
<div id="view-content">
	<form  id="cccheckForm" method="post" action="/ItemManager/creditcardcheck">	
		 <table border="1">
		 <tr><th colspan=2><span style="font-size:30px ">Please fill in your payment detail</span></th></tr>
			 <tr><td colspan=2>
			 	Payment Detail:
			 	</td>
			 </tr>
			 <tr>
			 	<td>
				Name:
				</td>
				<td>
					<input id="cardName" name="cardName" type="text" size=20>
				</td>
			 <tr>
			 <tr>
			 	<td>
					Amount:
				</td>
				<td>
					<input id="amount" name="cardAmount" type="text" size=20>
				</td>
			</tr>
			<tr>
				<td>
					Credit Card Type:
				</td>
				<td>
					<select name="cardType" id="cardSelection">
			  			<option>Mastercard</option>
			  			<option>Visa</option>
			  			<option>American Express</option>
			  			<option>Diners Club</option>
					</select>
				</td>
			</tr>
			<tr>
				<td>
					Card Number:
				</td>
				<td>
					<input id="cardNumber" name="cardNumber" type="text" size=30>
				</td>
			</tr>
			<tr>
				<td>
					Expire Date:
				</td>
				<td>
					<input id="month" name="month" type="text" size=4 onkeyup="this.value=this.value.replace(/[^0-9]+/,'');">/<input id="year" name="year" type="text" size=4 onkeyup="this.value=this.value.replace(/[^0-9]+/,'');">
				</td>
			</tr>
			<tr>
				<td>
					<input type="button" value="Cancel" onclick="cancel()">
				</td>
				<td align="right">
					<input type="radio" checked="checked" name="wslocation" value="default">Default
					<input type="radio" name="wslocation" value="personal">Personal
					<input type="button" value="Donate" onclick="process()">
				</td>
			</tr>
		</table>
	</form>
</div>